Individual provider · Type 1 NPI
Michelle R. Shoultz, PA-C
Medical Physician Assistant · Lawrenceville, GA
NPI number
1457439747
Active
Practice location
545 Old Norcross Rd Ste 300
Lawrenceville, GA 30045-3390
Fax (678) 287-1664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004938 (GA) |
| Surgical Physician Assistant | 363AS0400X | 004938 (GA) |
Medical Physician Assistant: Definition to come...
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About NPI 1457439747
Michelle R. Shoultz, PA-C's National Provider Identifier is 1457439747, issued on Nov 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawrenceville, GA. The record was last updated on Apr 16, 2010.